Individual provider Active NPI

Rachel Beth McCarrison, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1508308867
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016701 Issued in PA
Practice address
810 Clairton Blvd
Suite 100
Pittsburgh, PA 15236-4519
Phone
(412) 466-5004
Fax
(412) 466-7137
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP016701 PA
Nurse Practitioner 363L00000X SP016701 PA Primary

Addresses

Primary practice location

810 Clairton Blvd
Suite 100
Pittsburgh, PA 15236-4519

Mailing address

810 Clairton Blvd
Suite 100
Pittsburgh, PA 15236-4519
Phone (412) 466-5004

Other practice location 1

671 Castle Creek Drive Ext
Seven Fields, PA 16046-7800
Phone (724) 761-2020

Other practice location 2

4070 Beechwood Blvd
Pittsburgh, PA 15217-2679
Phone (412) 521-6511

Other identifiers 3

IdentifierTypeStateIssuer
1032712330002MedicaidPA
1032712330003MedicaidPA
1032712330001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP016701PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Plus Pediatrics Past Accepting new patients
The Childrens Institute of Pittsburgh Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1508308867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364519",
            "telephone_number": "412-466-5004",
            "fax_number": "412-466-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364519",
            "telephone_number": "412-466-5004",
            "fax_number": "412-466-7137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Castle Creek Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467800",
            "country_code": "US",
            "telephone_number": "724-761-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Beechwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172679",
            "country_code": "US",
            "telephone_number": "412-521-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARRISON",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP016701",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032712330002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032712330003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032712330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.